冯万文;夏亚一;徐杏荣;李春辉;武茹;王翠芳;钱元;李婷;党跃修;仲翔宇;

• 1:徐州医学院附属连云港市东方医院骨科
• 2:连云港市涉外医院骨科
• 3:兰州大学第二医院骨科

摘要(Abstract)：

[目的]评价经膝关节前外侧和后内侧双切口入路手术治疗胫骨平台双髁骨折的临床疗效。[方法]自2003年6月～2010年5月对42例胫骨平台双髁骨折采用膝关节前外侧和后内侧双切口入路进行手术治疗,其中SchatzkerⅤ型骨折29例,SchatzkerⅥ型骨折13例。随访时间16～27个月。观察切口感染和骨折愈合时间。配对t检验比较术后初次和末次随访骨折复位及复位丢失放射学Rasmussen评分。随访末HSS评分评价膝关节功能。[结果]切口感染7例,其中浅部感染2例,深部感染5例,感染率16.67%。骨折平均愈合时间(4.60±1.27)个月。术后初次放射学Rasmussen平均评分(13.86±3.23)分,随访末期(13.71±3.26)分,二者比较差异无统计学意义(P=0.08>0.05)。随访末膝关节功能HSS评分平均为(74.33±12.34)分,优10例,良22例,可9例,差1例,优良率76%。[结论]采用膝关节前外侧和后内侧双切口手术入路可充分暴露膝关节内结构及胫骨平台双髁骨折端,为骨折直视下精确复位和植骨内固定提供了良好的操作空间,关节面复位满意,内固定牢固,术后骨折复位丢失率低、骨折愈合率高,有效减少软组织并发症,利于膝关节功能恢复,适合胫骨平台双髁骨折的手术入路。

关键词(KeyWords)： 双切口入路;胫骨平台双髁骨折;内固定;锁定加压钢板

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 冯万文;夏亚一;徐杏荣;李春辉;武茹;王翠芳;钱元;李婷;党跃修;仲翔宇;

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参考文献(References)：

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